academic headquarters

550 West Van Buren Street

Chicago, IL 60607

ADMISSIONS DEPARTMENT
6301 Kaplan University Avenue
Fort Lauderdale, FL 33309
Tel: 866.527.5268 (Toll Free)
Tel: 954.515.4700
Email: InfoKU@Kaplan.edu
Web: kaplanuniversity.edu
OFFICE OF RETURNING STUDENTS
Tel: 888.252.78895

Online Programs Enrollment Agreement

This entire form must be completed and submitted to the Admissions Department as part of your Kaplan University record. Please print legibly.

Personal Information
Rizvi Khelawon
NAME: ________________________________________
PRIOR/MAIDEN NAME (IF APPLICABLE): _______________________________________
Shivala Lane Letord Lane
STREET ADDRESS: ________________________________________________________________________________________________________
NA
Rose
Belle
CITY: ________________________________________ STATE: ________________________________
ZIP: ________________________________
34239121
LAST 4 DIGITS OF SSN: _____________________________________ CVUE STUDENT NUMBER: _________________________________________
rizvi.khelawon@gmail.com
07/02/1990
DATE OF BIRTH:___________________________________________
EMAIL: ________________________________________________________
(783)214-5718
WORK TELEPHONE: ________________________________________
CELL TELEPHONE: _______________________________________________
ARE YOU HISPANIC/LATINO? [ ] YES [] NO
PLEASE SELECT ONE OR MORE OF THE FOLLOWING RACES: [ ] AMERICAN INDIAN OR ALASKA NATIVE [ ] ASIAN
[ ] BLACK OR AFRICAN AMERICAN [ ] NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER [ ] WHITE
Mauritius
Non-Citizen
COUNTRY OF CITIZENSHIP (OPTIONAL): _______________________________
CITIZENSHIP STATUS (OPTIONAL): ____________________________
Non Military
U.S. MILITARY AFFILIATION: ___________________________________________
BRANCH: ____________________________________________
RANK: _____________________________________________________________ DATE OF SEPARATION: _________________________________

Educational Background
HIGH SCHOOL GRADUATION OR ITS EQUIVALENT IS A REQUIREMENT FOR ADMISSION TO KAPLAN UNIVERSITY.
M. Sangeelee SSS
10/2010
HIGH SCHOOL: _______________________________________________________________________
DATES ATTENDED: ___________________
CITY: _________________________________________________________________ STATE: ______________________ZIP: __________________
Postsecondary Education
LAST EDUCATIONAL INSTITUTION: ________________________________________________________ DATES ATTENDED: ___________________
MAJOR OR SPECIALIZATION: _________________________________________ DEGREE OBTAINED: _____________________________________
CITY: _________________________________________________________________ STATE: ______________________ZIP: __________________
EDUCATIONAL INSTITUTION: ____________________________________________________________ DATES ATTENDED: ___________________
MAJOR OR SPECIALIZATION: _________________________________________ DEGREE OBTAINED: _____________________________________
CITY: _________________________________________________________________ STATE: ______________________ZIP: __________________
EDUCATIONAL INSTITUTION: ____________________________________________________________ DATES ATTENDED: ___________________
MAJOR OR SPECIALIZATION: _________________________________________ DEGREE OBTAINED: _____________________________________
CITY: _________________________________________________________________ STATE: ______________________ZIP: __________________
YOUR LAST NAME AT THE TIME YOU COMPLETED YOUR UNDERGRADUATE DEGREE IF DIFFERENT FROM ABOVE: ___________________________
RETURNING STUDENTS ONLY
HAVE YOU ATTENDED ANOTHER COLLEGE SINCE LEAVING KAPLAN? [ ] YES [ ] NO

COLLEGE: ________________________________________

DATES ATTENDED: _________________________________________ APPROXIMATE # OF CREDITS: _____________________________________

CITY: ____________________________________________________ STATE: _________________________________ ZIP: ___________________
NOTE: IF YOU WISH TO TRANSFER THESE CREDITS, AN OFFICIAL TRANSCRIPT MUST BE SENT TO KAPLAN UNIVERSITY.

Kaplan University Learning Centers

Kaplan University Learning Centers are on-ground course sites. Kaplan University Learning Centers do not offer full program instruction at the course
sites. Kaplan University Learning Center students are required to take more than 50 percent of their program courses online. Contact the Admissions
Department for details.

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Programs
Please indicate your program and emphasis area or specialization:
Bachelor of Science in Psychology
PROGRAM OF STUDY: _____________________________________________________________________________________________________
Industrial/Organizational Psychology
AREA OF SPECIALIZATION/EMPHASIS AREA*: _____________________________________________
__ MAT-CLASSRoom PATHWAYS BUNDLE
PREVIOUS PROGRAM OF STUDY (RETURNING STUDENTS ONLY): __________________________________________________________________
PREVIOUS START DATE (RETURNING STUDENTS ONLY): __________________________________________________________________________
01/06/2016
11/06/2019
180.00
LENGTH IN CREDIT HOURS:_________________
START DATE: _____________________
EXPECTED GRADUATION DATE: ____________________
*If not indicated, to be determined by the end of the second term.
Expected graduation date and length in credit hours are estimates. Additional prerequisites or other credits may be required.

ENROLLMENT STATUS:

___ FULL TIME

PART TIME
___

___ 3/4 TIME

Financial
TUITION AND FEES: The tuition and fees for your program are included in the Tuition and Fees Rider of this Enrollment Agreement.
REFUNDS: Refer to the Refund Policy section of this Enrollment Agreement for details.
DROPPING COURSES: Provided students remain enrolled in their program, they may drop a course prior to or during the first 7 calendar days of the course
without any financial obligation. Students who drop a course beyond the first 7 calendar days will incur 100 percent financial responsibility for the course.
KAPLAN PAYMENT PLAN: The Kaplan Payment Plan requires monthly payments. The terms and conditions of your Kaplan Payment Plan are
contained in your Kaplan Payment Plan Promissory Note. The Kaplan Payment Plan Promissory Note will be provided by the Financial Aid Office. The
amount financed may change depending on the amount of federal financial assistance you actually receive. If the actual amount is less than expected, we
will increase the amount financed to cover the gap and provide you with a revised Truth in Lending Disclosure Statement. You agree to pay the actual
amount financed pursuant to the terms of the Kaplan Payment Plan Agreement and revised Truth in Lending Disclosure.
BILLING STATEMENTS: Students receive monthly billing statements in hard copy and/or electronic format.
PROOF OF HIGH SCHOOL GRADUATION: Kaplan University requires students to attest to proof of graduation from high school or its
equivalent. If selected for verification, students must provide official proof of graduation within 30 days; if Kaplan University is required to obtain
this proof on your behalf, there will be a $10.00 nonrefundable fee charged to your account. If the University previously received official proof of
high school graduation, the student will not be selected for verification as a returning student.
TENNESSEE STUDENTS: Tennessee residents are required to produce an official high school transcript or GED certificate by the last day of the first
term. If proof is not submitted by the last day of the first term, the student will be withdrawn from the University and blocked from reentry until it is
provided. Furthermore, all Title IV financial aid or any state or institution funding must be refunded to the appropriate source, and the student will be
responsible for payment of these funds to the original source or to Kaplan University.

Students Enrolled in Advanced Start Programs

Students enrolled in an advanced start or Bachelor of Science in Nursing program must furnish an official transcript indicating receipt of a comparable
associates degree or bachelors degree from a college or university accredited by a regional or national accrediting agency recognized by the U.S.
Department of Education by the last day of the first term. If this document is not submitted by the last day of the first term, the student will be withdrawn
from the University and blocked from reentry until it is provided or the student changes his or her program of study to one that does not require proof
of graduation. Furthermore, all Title IV financial aid or any state or institutional funding must be refunded to the appropriate source, and the student
will be responsible for payment of these funds to the original source or to Kaplan University.

Proof of Bachelors Degree

Students enrolled in a postbaccalaureate program must furnish an official transcript indicating receipt of a comparable bachelors degree from a college
or university accredited by a regional or national accrediting agency recognized by the U.S. Department of Education by the last day of the first term.
Prior to enrollment, students enrolled in a graduate program, unless otherwise noted, must submit an unofficial transcript indicating receipt of a
bachelors degree from a college or university accredited by a regional or national accrediting agency recognized by the U.S. Department of Education.
In some cases, a students graduate degree may also be acceptable. By the last day of the first term, students must provide the University with an official
copy of the transcript. If this document is not submitted by the last day of the first term, the student will be withdrawn from the University and blocked
from reentry and the students academic credentials will be withheld. Furthermore, all Title IV financial aid or any state or institutional funding must
be refunded to the appropriate source, and the student will be responsible for payment of these funds to the original source or to Kaplan University.

International Applicants
International applicants may be subject to further requirements. International applicants should consult the International Applicants policy within the
Admissions Information section of the University Catalog, as well as program-specific requirements.

Graduation Requirements
The candidate for graduation must:
1. Complete all requirements for his or her program of study within the maximum time frame permitted and attain a cumulative grade point average
(CGPA) for the program as defined in the University Catalog,
2. Return all property belonging to the University, and
3. Fulfill all financial obligations to the University prior to graduation and attend graduate and financial aid exit interviews, if applicable.

Refund Policy
Applicants who are:
not accepted by the University;
dismissed as a result of failing to meet the minimum entrance assessment score or to meet any other condition of enrollment or admittance required
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for the program of study; or

conditionally admitted students who choose to withdraw at the end of week 3 of the first term;
shall be entitled to a refund of all monies paid, with the exception of the nonrefundable application fee.
CANCELLATION OF ENROLLMENT AGREEMENT: Three-Day CancellationAn applicant who provides written notice of cancellation within
three days (excluding Saturday, Sunday, and federal and state holidays) of signing an enrollment agreement is entitled to a refund of all monies paid.
No later than 30 days of receiving the notice of cancellation, the school shall provide the 100 percent refund.
INDIANA RESIDENTS Six-Day CancellationAn applicant who provides written notice of cancellation within six days (excluding
Saturday, Sunday, and federal and state holidays) of signing an enrollment agreement is entitled to a refund of all monies paid. No later than
30 days of receiving the notice of cancellation, the school shall provide the 100 percent refund.
WISCONSIN RESIDENTS You may cancel your Enrollment Agreement without any penalty or obligation by completing and signing the
Notice of Cancellation form (attached to this Agreement) or by submitting any other written notice or by sending a telegram. You must
deliver your completed and signed Notice of Cancellation form or other notice of cancellation to the University management by midnight
of the third business day after signing the Enrollment Agreement, excluding Saturday, Sunday, and federal and state holidays. All refunds for
cancelling the Enrollment Agreement will be made within 10 business days after the University receives the notice of cancellation.
DROPPING COURSES: Provided students remain enrolled in their program, they may drop a course prior to or during the first 7 calendar days of the course
without any financial obligation. Students who drop a course beyond the first 7 calendar days will incur 100 percent financial responsibility for the course.
NOTICE TO STUDENTS: If you withdraw from the University up through the 60% point in any payment period and received federal financial aid in
the form of grant or loan funds, federal law requires that the University, and in some cases, you, the student, return funds you did not earn to the U.S.
Department of Education. A determination of the percentage of the payment period or term the student has completed used to calculate the amount
of Title IV financial aid the student has earned will be based on the number of days the student completed up to the last date of academic attendance,
divided by the total days in the payment period or term. (Any break of 5 days or more is not counted as part of the days in the term.) Up through the
60% point in each payment period, a pro rata schedule is used to determine the amount of Title IV funds you have earned at the time of withdrawal.
After the 60% point in the payment period, you have earned 100% of the Title IV funds you were scheduled to receive during the period. This calculation
concerning federal financial aid is separate and distinct from the institutional refund policy and may result in your owing additional funds to the
University to cover tuition charges previously paid by federal financial aid prior to your withdrawal. If you plan to withdraw from the University, please
contact your financial aid or business office to determine the amount of funds, if any, that must be returned on your behalf.
WITHDRAWAL AFTER COMMENCEMENT OF CLASSES: The effective withdrawal date for a student shall be when any of the following occur:
1. The date the student notifies the University of withdrawal or the date of withdrawal, whichever is earlier,
2. The beginning date of any term in which a student fails to start classes,
3. The last date of attendance following any 21 consecutive calendar days of absences (not including breaks; 14 days for students enrolled in
6-week terms),
4. The last date of attendance prior to the date when the University terminates the students enrollment, or
5. The date that the student is scheduled to return from a leave of absence and fails to do so.

New Mexico Residents: On the students request, Kaplan University will provide, within 5 business days, an estimated accounting of any amounts
retained, and will provide a final accounting following the Department of Educations determination regarding any federal financial aid disbursed.
All refunds due will be made within 30 days of the students effective withdrawal date. The last date of actual participation is used in calculating any
refund amount.
If you are a continuing student, not conditionally admitted, and/or conditionally admitted and have met the conditions of your admission and have been
fully accepted into your program, you are subject to the Kaplan University Refund Policy and the Tuition Refund Chart.
STUDENTS WITHDRAWING

REFUND

Prior to the first day of the term

100% Tuition

During the first day through 10% of the term

90% Tuition*

After more than 10% and through 25% of the term

50% Tuition*

After more than 25% and through 50% of the term

25% Tuition*

After more than 50% and through 100% of the term

0% Tuition

*Less $100 Administrative Fee.

Florida Residents TUITION REFUND CHART

 If you reside in the state of Florida and withdraw or are terminated after completing only a portion of a course, program, or term
within the applicable billing period, the institution shall pay a minimum refund as follows:
STUDENTS WITHDRAWING

REFUND

Prior to the first day of term

100% Tuition

During the first 7 calendar days of each term

100% Tuition

After 7 calendar days and through 25% of the term

50% Tuition*

After more than 25% and through 50% of the term

25% Tuition*

After more than 50% and through 100% of the term

0% Tuition

60% through 100% of the term

0% Tuition

*Less $100 Administrative Fee.

Refunds shall be made within 30 days of the date of withdrawal or termination, not including the nonrefundable application fee or
administrative fee.

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 Indiana Residents TUITION REFUND CHART

STUDENTS WITHDRAWING

REFUND

Prior to the first day of the term

100% Tuition

During the first 6 calendar days of the first term (first-time students only)

100% Tuition

During the first day through 10% of the term

90% Tuition*

After more than 10% and through 25% of the term

75% Tuition*

After more than 25% and through 50% of the term

50% Tuition*

After more than 50% and through 60% of the term

40% Tuition*

After more than 60% and through 100% of the term

0% Tuition

*Less $100 Administrative Fee.

IOWA RESIDENTS TUITION REFUND CHART
For all students attending an Iowa Kaplan University campus or Iowa residents attending Kaplan University online the following
refund policy shall apply:
STUDENTS WITHDRAWING

REFUND

Prior to the first day of the term

100% Tuition

During the first 6 calendar days of the first term (first-time students only)

100% Tuition

For the remainder of the term until completion, the tuition refund will be calculated as follows:
N
 umber of scheduled school days remaining in the term/number of scheduled school days in the term multiplied by the total
tuition multiplied by 90%.

A term is considered completed if a student receives a letter grade for any class and no tuition refund will be granted.

No administrative fee will be charged to a student who withdraws from Kaplan University.
FOR IOWA SERVICEMEMBERS AND THEIR SPOUSES WITH DEPENDENT CHILDREN
Any Kaplan University student residing in the state of Iowa who is a military servicemember (active duty, guard, or reservist) who
gets deployed or mobilized, or is a spouse with a dependent child of a servicemember who gets deployed or mobilized, may request
a full refund of tuition and fees for all classes attended in the term for which the deployment or mobilization occurred.
MARYLAND RESIDENTS TUITION REFUND CHART
If you reside in the state of Maryland and withdraw or are terminated after completing only a portion of a course, program, or term
within the applicable billing period, the institution shall pay a minimum refund as follows:
Proportion of Total Course, Program, or Term Completed as of Date of
Withdrawal or Termination

REFUND

Less than 10%

90% Tuition

10% up to but not including 20%

80% Tuition

20% up to but not including 30%

60% Tuition

30% up to but not including 40%

40% Tuition

40% up to but not including 60%

20% Tuition

60% through 100% of the term

0% Tuition

 The refund due shall be based on the date of withdrawal or termination and paid within 60 days from the date of withdrawal or
termination. You will not be charged the $100 administrative fee if you withdraw from the University after completing 50 percent or
more of any given term.
Oregon RESIDENTS TUITION REFUND CHART
If you reside in the state of Oregon and withdraw after completing only a portion of a course, program, or term within the applicable
billing period, the institution shall pay a minimum refund as follows:
STUDENTS WITHDRAWING

REFUND

Prior to the first day of the term

100% Tuition

After more than 0% and through 10% of the term

90% Tuition*

After more than 10% and through 20% of the term

80% Tuition*

After more than 20% and through 30% of the term

70% Tuition*

After more than 30% and through 40% of the term

60% Tuition*

After more than 40% and through 50% of the term

50% Tuition*

After more than 50% and through 60% of the term

40% Tuition*

After more than 60% and through 100% of the term

0% Tuition

*Less $100 Administrative Fee.

Refunds shall be made within 30 days of the date of withdrawal or termination, not including the nonrefundable application fee or
administrative fee.
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 TENNESSEE RESIDENTS TUITION REFUND CHART

STUDENTS WITHDRAWING

REFUND

Prior to the first day of the term

100% Tuition*

During the first day through 10% of the term

75% Tuition*

After more than 10% and through 25% of the term

25% Tuition*

After more than 25% and through 100% of the term

0% Tuition

*Less $100 Administrative Fee.

WISCONSIN RESIDENTS TUITION REFUND CHART
STUDENTS WITHDRAWING

REFUND

Prior to the first day of the term

100% Tuition

During the first 6 calendar days of the first term (first-time students only)

100% Tuition

During the first day through 10% of the term (continuing or restarting students)

90% Tuition*

After more than 10% and through 20% of the term

80% Tuition*

After more than 20% and through 30% of the term

70% Tuition*

After more than 30% and through 40% of the term

60% Tuition*

After more than 40% and through 50% of the term

50% Tuition*

After more than 50% and through 60% of the term

40% Tuition*

After more than 60% and through 100% of the term

0% Tuition

*Less $100 Administrative Fee.

The University reserves the right to postpone or change the date or time when any class is offered.
In case of prolonged illness, accident, death in the family, or other circumstances that make it impractical to complete the program, Kaplan University
will endeavor to provide an appropriate refund.

Additional Conditions
1. The University will not deny admission because of race, color, religion, ancestry, national origin, age, nondisqualifying disability, gender, sexual
orientation, marital status, or veteran status.
2. This Agreement, its Addenda, and its attachments constitute the complete agreement between the University and the student, and no verbal
statements or promises will be recognized or enforced.
3. The University does not imply, promise, or guarantee transferability of earned credits to any other institution.
4. The University has the right, at its discretion, to make reasonable changes in program content, materials, schedules, sequence of courses in
programs, or locations in the interest of improving the students education, or where deemed necessary due to industry changes, academic
scheduling, or professional requirements. The University is required to make changes in programs or policies when ongoing federal, state, or
accrediting changes affect students currently in attendance.
5. The University does not provide health services for students.
6. Career services offered by the University are not an obligation or guarantee of employment. Although the University will assist the student, finding a
job is the students responsibility. The University does not guarantee that any student will be placed in any particular job, or at all.
7. TENNESSEE RESIDENTS: The institution guarantees total cost of tuition for 1,200 contact hours or one calendar year from the time of enrollment
after which the institution reserves the right to increase tuition with 30 days written notice to students.
8. TENNESSEE STUDENTS: Any grievances not resolved on the institutional level may be forwarded to the Tennessee Higher Education
commission, 401 James Robertson Parkway, Suite 1900, Nashville, TN 37243-0830, 615.741.5293.
Arizona Residents: Any questions or concerns about this school that have not been satisfactorily answered or resolved by the school should be directed to the Arizona State Board for
Private Postsecondary Education, 1400 West Washington Street, Room 260, Phoenix, AZ 85007, Tel: 602.542.5709, Website: http://azppse.state.az.us.
Indiana Residents: Any questions or concerns about this school that have not been satisfactorily answered or resolved by the school should be directed to the Indiana Commission on
Proprietary Education, 302 West Washington Street, Room E201, Indianapolis, IN 46204, Tel: 800.227.5695 or 317.232.1320.
Kansas Residents: The Kansas Board of Regents (KBOR) posts a complaint process and form on its website at www.kansasregents.org/academic_affairs/private_out_of_state/complaint_
process. The website contains information about KBORs complaint process with instructions for filing a complaint. To initiate a complaint against a school regulated by KBOR, you must
complete KBORs form and mail or fax it to: Kansas Board of Regents, Private Postsecondary Education Division, 1000 SW Jackson Street, Suite 520, Topeka, KS 66612-1368, Fax:
888.975.8313. If you have questions or concerns, call 785.296.1529 or email dgarretson@ksbor.org.
Kentucky Residents: Kaplan University is licensed by the Kentucky Council on Postsecondary Education. Additional information regarding this institution may be obtained by
contacting the Council: 1024 Capital Center Drive, Suite 320, Frankfort, KY 40601, Tel: 502.573.1555, Website: www.cpe.ky.gov.
Maryland Residents: This institution is subject to investigation of complaints by the Office of the Attorney General of the Maryland Higher Education Commission, Maryland Attorney
General, Consumer Protection Division, 200 St. Paul Street, Baltimore, MD 21202, Tel: 410.528.8662 or 888.743.0823.
Nebraska Residents: If a student complaint cannot be resolved after exhausting Kaplan Universitys grievance procedures, the State of Nebraskas Coordinating Commission for
Postsecondary Education provides a formal process by which you may have your complaint investigated. Details of this process may be found at: http://www.ccpe.state.ne.us/PublicDoc/
Ccpe/Complaint.asp. The State of Nebraskas Coordinating Commission for Postsecondary Education may be contacted at: Nebraskas Coordinating Commission for Postsecondary
Education, ATTN: Complaints, P.O. Box 95005, Lincoln, NE 68509-5005. Tel: 402.471.2886.
Wisconsin Residents: Any questions or concerns about this school that have not been satisfactory answered or resolved by the school should be directed to the Wisconsin Educational
Approval Board, 201 West Washington Avenue, 3rd Floor, Madison, WI 55307. Tel: 608.266.1996. Website: http://eab.state.wi.us.

Holder in Due Course Statement

Any holder of this consumer credit contract is subject to all claims and defenses which the debtor could assert against the seller of goods or services obtained
pursuant hereto or with the proceeds, hereof. Recovery hereunder by the debtor shall not exceed amounts paid by the debtor (FTC Rule effective 5-14-76).
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TUITION AND FEES RIDER

Tuition
$371.00
The current tuition for your program will be $________
per credit hour. Students who take courses offered by other schools within the University may
be charged a different tuition rate than that for their program of study. The tuition per credit hour is subject to change. Tuition and fees are subject to
change after 30 days advance notice. This amount does not include costs incurred due to program changes or repeated classes, fundamental courses, or
multiple emphasis areas. Students outside the United States or U.S. Territories will be responsible for the cost and the shipment of instructional materials
including returns and payment of customs duties or fees.

Fees
A nonrefundable application fee, depending on your program and as described in the Tuition and Fees Supplement, may be required at the time of
$295.00
enrollment. All students are required to pay a $_________
technology fee per term. A $10.00 fee will be added for all returned checks. A fee of $10.00
is charged for each copy of an official transcript. A $2.00 shipping and handling fee will be charged if the receiving school is unable to accept electronic
delivery. Additional fees are as follows: notarized, $30.00; rush delivery, $25.00. Students will receive one free copy of their official diploma. Additional
fees are as follows: duplicate/replacement, $25.00 (free if damaged in shipment or printed with errors); notarized, $30.00; apostille, $100.00. Not all
programs are offered at all locations; speak to the Admissions Department for details. Some programs have additional fees: Students enrolled in the
Master of Science in Human Services or a criminal justice, fire science, or graduate psychology program are required to pass a criminal background
check by the end of the first term. The background check request should be submitted by the middle of the first term to give time to process by the end
of the term. The fee is $49.00 and is the responsibility of the student. Students enrolled in the Bachelor of Science in Nursing or a School of Health
Sciences program that requires criminal background checks will be required to submit: (1) by the sixth week of the first term to give time to process by
the end of the term (the fee is $49.00 and is the responsibility of the student to pay the vendor directly); (2) prior to registering for practicum (nursing)
or during clinical courses (health sciences) (the fee is $49.00 and is the responsibility of the student). Students enrolled in undergraduate health sciences
programs are required to pay a one-time program fee. This fee may be paid using financial aid funds and can be incorporated into the students monthly
payment plan. The program fees are nonrefundable and payable over the term in which the fee is billed. The fee per program is as follows: Associate of
Applied Science in Health Information Technology, $300.00; Medical Assistant Certificate, $900.00 (payable in three installments of $300.00 each
in the first three terms); Associate of Applied Science in Medical Office Management, $300.00. Students enrolled in undergraduate information
technology programs are required to pay a $65.00 lab/simulation fee per term. Students enrolled in EL 203: Portfolio Development will pay a $1,500.00
course fee. This nonrefundable fee will be collected as follows: 50% after add/drop week and 50% upon submission of a portfolio for evaluation. Students
who withdraw from the course after add/drop week, withdraw from Kaplan University before completing the course, fail the course, or do not submit
a portfolio after completion of the course will not be charged the remaining $750.00. Master of Business Administration students will pay one-time
fees of $104.50 as part of GB 500 ($64.50 for Insights Discovery Profile and $40.00 for Marketplace Business Fundamentals Simulation) and $50.00 as
part of GB 601 (Marketplace Strategy and Business Policy Simulation); Master of Science in Management students will pay a one-time fee of $64.50
prior to the start of GM 500 (Insights Discovery Profile). Nurse practitioner students will pay a fee of $350.00 per clinical course. Students enrolled
in the Master of Science in Nursing program are required to submit criminal background checks. Students will be required to submit: (1) by the sixth
week of the first term to give time to process by the end of the term (the fee is $49.00 and is the responsibility of the student to pay the vendor directly);
(2) prior to registering for practicum or clinical courses (the fee is $49.00 and is the responsibility of the student). Students enrolled in School of Nursing
certificate programs are required to submit criminal background checks. Students will be required to submit: (1) by the sixth week of the first term to
give time to process by the end of the term (the fee is $49.00 and is the responsibility of the student to pay the vendor directly); (2) prior to registering
for practicum or clinical courses (the fee is $49.00 and is the responsibility of the student) if the original check expires prior to or during the practicum
or clinical courses. Students enrolled in the Master of Science in Higher Education/Student Affairs must complete a criminal background check
through Kaplan Universitys designated provider by the end of the first term. The fee is $54.00 and is the responsibility of the student. Prior to enrollment,
Master of Arts in Teaching (MAT) Iowa Certification Track candidates must complete a criminal background check through Kaplan Universitys
designated provider. The fee is $75.00, is the responsibility of the student, and is required to be paid directly to the provider. Prior to enrollment, Master
of Arts in Teaching Iowa Certification Track candidates are required to obtain a transcript analysis showing that the minimum content hours in the
teaching endorsement area have been met. Kaplan Universitys campus Admissions Advisor will assist the candidates in choosing an approved evaluator.
Candidates will pay the transcript analysis fee directly to the evaluator, or pay through Kaplan University, depending on the chosen evaluator. The cost
for each transcript analysis is $60.00. Master of Arts in Teaching Iowa Certification Track graduates who are recommended for full licensure will be
required to pay the Iowa BoEE a licensing fee application of approximately $85.00. MAT Noncertification Track students who choose the Classroom
Pathways Bundle with the American Board for Certification of Teacher Excellence Plus+ Program will pay a one-time fee of $2,850.00 ($3,000.00
for Arizona residents) in the ninth term. Prior to enrolling in the MAT, applicants must contact the American Board and complete a pre-registration
call to ensure certification eligibility and for more information about state alternative certification program approval, additional fees, and residency
requirements. Students enrolled in the Master of Public Health program are required to submit criminal background checks. Students will be required
to submit: (1) by the sixth week of the first term to give time to process by the end of the term (the fee is $49.00 and is the responsibility of the student
to pay the vendor directly); (2) prior to fieldwork (the fee is $33.00 and is the responsibility of the student). Some courses have additional one-time
lab/simulation charges: IT 535, IT 541, IT 542, and IT 550, $45.00. These fees may be paid using financial aid funds and can be incorporated into the
students monthly payment plan. Students enrolled in the Open College @ Kaplan University course LRC 100 before their first day as a first-time,
degree-seeking student of Kaplan University will pay a $100.00 assessment fee when they submit their portfolio for evaluation provided that the portfolio
is submitted by the end of their first term. First-time students who do not meet this requirement and returning students will pay a $1,500.00 assessment
fee when they submit their portfolio for evaluation. This fee is nonrefundable and not covered by financial aid.

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Signatures
My (our) signature(s) below certifies that I (we) have read the seven pages of this Enrollment Agreement and understand and agree to my (our)
rights and responsibilities, and that the Universitys cancellation and refund policies have been clearly explained to me (us). I (we) understand that
this Agreement is a legally binding agreement, and with my (our) signature(s) certify that I (we) have received and read an exact signed copy of
this Agreement and the University Catalog and its Addenda and understand that I (we) am (are) responsible for completing any program-specific
requirements (e.g., admissions, GPA, clinical, and progression requirements) and abiding by academic policies (e.g., Student Code of Professional
Conduct, Plagiarism Policy). Further, my (our) signature(s) on this Agreement acknowledges that the Catalog dated August 26, 2015, and all
subsequent Catalog Addenda are incorporated as part of this Enrollment Agreement. I (we) further acknowledge that no oral statements have
been made to me (us) contrary to what is contained in this Enrollment Agreement.
TENNESSEE RESIDENTS: Kaplan University is authorized for operation as a postsecondary institution by the Tennessee Higher Education
Commission. This authorization must be renewed each year and is based on an evaluation by minimum standards concerning quality of education,
ethical business practices, health and safety, and fiscal responsibility. I realize that any grievances not resolved on the institutional level may be
forwarded to the Tennessee Higher Education Commission, Nashville, TN 37243-0830, 615.741.5293.
WISCONSIN RESIDENTS: Regardless of any other stipulations contained in this contract, the Wisconsin student always has the right to file a
complaint with the Wisconsin Educational Approval Board at 608.266.1996 or EABmail@eab.state.wi.us.
My (our) signature(s) below certifies that I (we) have graduated from high school or its equivalent and I (we) understand that I (we) will be
required to provide official proof of such graduation if requested by the University.

X_________

I acknowledge and understand that I will be held responsible for the terms and
conditions in this Agreement.

X_________

A signed copy of this Enrollment Agreement may be obtained from the

Admissions Department.

X_________

An electronic copy of the University Catalog is available at

http://www.catalog.kaplanuniversity.edu.

X_________

Some states have additional curricular requirements. I

acknowledge that I have received and read the State-Specific
Curricular Requirements page(s) of the University Catalog or
Addendum.

X_________

I acknowledge that I have received a copy of the Tuition and Fees Supplement
and the Annual Performance Report published by the Tennessee Higher
Education Commission (available at http://www.state.tn.us/thec/Divisions/
LRA/PostsecondaryAuth/segpr/2012/1401kaplan-fy12.pdf).

X_________
Please Initial

I acknowledge that I received the link to an electronic copy of the University

Catalog at http://www.catalog.kaplanuniversity.edu and I was given time and
opportunity to review the institutional policies in the Catalog.

X_________

I acknowledge that I have received and read the Notice of Cancellation form,
and understand my rights and responsibilities regarding this form.

Please Initial

Please Initial

BUYERS ACKNOWLEDGMENTS :

Please Initial

Please Initial

Tennessee Residents:

Tennessee Residents:

Wisconsin Residents:

Please Initial

Please Initial

Signature of Applicant X_______________________________________________________________ Date X______________________________

Signature of Parent or Guardian (if applicant is under 18) X___________________________________ Date X______________________________
As an authorized official of Kaplan Universitys Admissions Department, I have interviewed the applicant and certify that, according to my judgment,
the applicant does meet the admissions requirements and standards of the University, and I recommend acceptance as a student. I further state that I
have made no verbal statements or promises to the applicant contrary to the terms set forth in this Agreement.
Kaplan University Authorized Representative Signature X_____________________________________ Date X______________________________
Name (Please Print) X______________________________________________________________

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